ADAPTER,MULTI HUDSON #1422 (29429)    VA PRODUCT (50.68)

Name Value
NAME ADAPTER,MULTI HUDSON #1422
VA GENERIC NAME ADAPTER
DOSAGE FORM DEVICE
HAZARDOUS TO DISPOSE NO
NATIONAL FORMULARY NAME ADAPTER DEVICE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-07-26 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ADAPTER,MULTI HUDSON #1422
VA PRODUCT IDENTIFIER XJ723
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038590
EFFECTIVE DATE/TIME
  • 2019-07-26 00:00:00
    STATUS:   ACTIVE
  • 2019-07-26 00:00:00
    STATUS:   ACTIVE